Nasal Function Assessment Test

1

I have difficulty breathing through my nose during the day.

None Mild Moderate Severate

2

Nasal congestion is more noticeable in one nostril (one side is dominant).

None Mild Moderate Severate

3

My breathing becomes noticeably more difficult when I lie down.

None Mild Moderate Severate

4

I wake up with a dry mouth or dry throat in the mornings.

None Mild Moderate Severate

5

My sleep is disrupted due to breathing issues, or I wake up frequently at night.

None Mild Moderate Severate

6

I’ve noticed increased snoring or louder breathing sounds during sleep, or I’ve received feedback about this from others.

None Mild Moderate Severate

7

I feel the need to breathe through my mouth during the day.

None Mild Moderate Severate

8

During exertion (fast walking, climbing stairs, exercise), breathing through my nose isn’t sufficient.

None Mild Moderate Severate

9

I notice that my voice sounds nasal when I speak.

None Mild Moderate Severate

10

I notice a decrease or fluctuation in my sense of smell.

None Mild Moderate Severate

11

I experience dryness inside the nose, crusting, or a burning sensation.

None Mild Moderate Severate

12

I experience nasal discharge, postnasal drip, or the frequent need to clear my throat.

None Mild Moderate Severate

13

I have symptoms suggestive of allergies, such as sneezing, itching, or congestion that worsens with dust or pollen.

None Mild Moderate Severate

14

My nasal congestion is accompanied by headaches, facial pressure, or a feeling of fullness.

None Mild Moderate Severate

15

My nasal airflow changes frequently during the day (sometimes it opens up, sometimes it feels blocked).

None Mild Moderate Severate

16

I frequently need sprays or similar products during the day to relieve nasal congestion.

None Mild Moderate Severate

17

Nasal congestion reduces my productivity in daily activities (work, school, home).

None Mild Moderate Severate

18

Because I have difficulty breathing through my nose, I experience restlessness, difficulty concentrating, or fatigue during the day.

None Mild Moderate Severate